Three Kindergarten Children Contract Scalp Ringworm From Cat Feces in Sandbox

Three children attending a kindergarten in northern Israel contracted scalp ringworm after exposure to cat feces found in the sandbox. The first case involved a six-year-old girl named Noya (a pseudonym), whose mother noticed unusual patches on her scalp about two weeks ago. Initially mistaking the spots for sun fungus, the mother sought medical advice when the lesions spread and hair began falling out. A scalp sample confirmed the diagnosis of ringworm, a fungal infection.

Following Noya's diagnosis, it was revealed that two additional children from the same kindergarten were also infected. The mother suspects the source to be cat feces in the sandbox, as stray cats frequently defecate there. The kindergarten assistant reportedly collects the feces with a plastic bag, and the sandbox sand is only replaced during the summer break.

Dr. Eran Cohen-Barak, head of pediatric dermatology at Emek Medical Center, explained that scalp ringworm is a fungal infection historically treated with radiation but now managed effectively with oral antifungal medications. He noted that infection can occur through contact with cats or dogs, especially if the animals defecate in play areas or come into contact with children’s heads or hands. The disease remains common, with dozens of cases diagnosed weekly.

Dr. Cohen-Barak warned that delayed diagnosis can lead to severe inflammation and permanent scarring of the scalp, potentially causing irreversible hair loss. Treatment typically requires several weeks of oral antifungal drugs, as topical treatments alone are often insufficient. Once treatment begins, the risk of contagion decreases significantly within a few days, and children do not need prolonged absence from kindergarten.

Noya has started medication and special shampoo treatment, but her mother describes the condition as distressing and confidence-damaging for her young daughter. The case highlights the importance of hygiene and regular maintenance of play areas to prevent such infections.